NCT05205954招募中不适用
HepHospital: A Pilot Trial of a Hepatology Home Hospital Intervention for Patients With Advanced Liver Disease
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Escalation Rate
研究概览
简要总结
This research study is evaluating a program that entails a healthcare at home intervention for people with advanced liver disease.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients ≥ 18 years old with diagnosis of cirrhosis based on histology, radiology, and/or elastography presenting to the emergency department or inpatient general medicine service
- •Patients must have one of the following:
- •Ascites (requiring diuretics or serial large volume paracenteses)
- •Hepatic hydrothorax (requiring diuretics)
- •Hepatic encephalopathy (requiring medications)
排除标准
- •All existing MGB home hospital criteria apply, with the following taking precedent for this specific condition
- •History of solid organ transplantation
- •On hemodialysis
- •MELD score > 20
- •Score <10 on Simplified Animal Naming Test (S-ANT1)
- •Current admission for hemodynamically significant GI bleeding or alcohol withdrawal
- •Require routine administration of controlled substances
- •Those deemed ineligible based on the MGH Home Hospital, inpatient medicine or hepatology clinician evaluation
结局指标
主要结局
Escalation Rate
时间窗: 18 months
The intervention will be deemed feasible if less than 20% of enrolled patients have escalation of care back to the inpatient (brick-and-mortar) hospital
次要结局
- Patient Experience(Up to 90 days)
- Adverse Event Reporting(Up to 90 days)
- Acceptability(18 months)
研究者
Nneka nnaoke Ufere
Assistant Professor of Medicine
Massachusetts General Hospital
研究点 (2)
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